Extract to table

All bracketed fields (indicated by "[Insert]" or similar notation) must be completed with agreement-specific information before execution

Strict adherence to the compensation structure and methodology described herein is required to maintain exception and safe harbor protection

Prior to execution, the compensation terms for each individual physician agreement must be supported by an independent fair market value ("FMV") opinion obtained from a qualified healthcare valuation firm (e

Agreements must not be executed without a current FMV opinion on file

All completed agreements must be reviewed and approved by the General Counsel and Chief Compliance Officer prior to execution

The approval line on the signature page must be completed by both individuals before the agreement is forwarded for physician signature